I AM surprised that the editor of an eminent scientific journal should publish an article so flawed. I am sure Dr Horton would never accept for his own journal a paper greatly based on anecdotal case history. I refer to the incident when a surgeon allegedly cut the ureter simply to demonstrate its repair. If the incident is true there is every reason to have it investigated, even now. But I have never even anecdotally heard of such a practice, and I entered medical school some 20 years before Dr Horton.

A E Mackinnon, FRCS

Sheffield Childrens Hospital